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Table 2 Proportion of Sick Children in Low and Middle Income Countries Accessing Care from a Healthcare Facility

From: Assessment of the proportion of neonates and children in low and middle income countries with access to a healthcare facility: A systematic review

PI

Country (WHO Region)

N

Design

Facility Infrastructure

Population Based vs Sample

Denominator

% Utilization

Amarasiri de Silva, 2001 [20]

Sri Lanka (SEAR)

174

Cross sectional survey

Varied: Includes private doctor or hospital, public or private

Population based: Kurunegala district

< 12 mos, children with ARI or diarrhea

69.9% with ARI, 86.8% with diarrhea

Andy, 1990 [21]

Fiji (WPR)

43

Cross sectional survey

Primary health center staffed by nurses

Population based: Cicia Island

0-4 yrs, reported illness symptoms

40% utilized health center

Armstrong, 2008 [22]

Tanzania (AFR)

674

Cross sectional household survey

Varied: "Western style provider", includes hospital, health center, and dispensaries

Population based: Five districts, Southern Tanzania

< 23 months, sick in last 2 weeks

46% utilized outside facility

Feikin, 2009 [23]

Kenya (AFR)

4,881

Cross sectional survey

Peripheral health facilities (DSS clinic)

Population based: Asembo

< 1 year, sick children

23% visited the clinic

Hadad, 2002 [24]

Brazil (AMR)

395

Verbal autopsy survey

Tertiary care hospital

Sample: Belo Horizonte

< 1 yr, had been taken to a hospital prior to death

91% visited a hospital

Kakai, 2009 [25]

Kenya (AFR)

242

Cross sectional survey

Government run health center

Sample, Bokoli, Bungoma East District

< 5 yrs, maternal diagnosis of malaria

28.1% utilized health facility

Pandey, 2002 [26]

India (SEAR)

790

Prospective cohort

Outside facility of a allopathic or homeopathic provider

Sample: Four villages near Kolkata

< 5 years, sick children taken to qualified professional

12.9% utilized facility

Yount, 2004 [27]

Egypt (EMR)

3,125

Longitudinal household survey study

Government hospital or clinic

Sample: Minya governorate

< 1 yr, sick children

12% utilized facility

  1. *AFR: African Region, AMR: American Region, EMR: Eastern Mediterranean Region, SEAR: South East Asia Region, WPR: Western Pacific Region